LONG-TERM OUTCOMES OF LAPAROSCOPIC DECORTICATION OF SYMPTOMATIC RENAL CYSTS

Renal cysts are common disorders in adults. Traditionally, symptomatic patients
with renal cysts are treated with percutaneous aspiration with or without using sclerosing agent.
However, the recurrence rate is high in this procedure. Thus, we assessed the long-term outcomes of
laparoscopic decortication of simple renal cysts from the clinical and radiologic points of view.
Materials & Methods: From April 2004 to July 2008, twenty seven symptomatic patients with simple
renal cyst treated with laparoscopic decortication, where the wall of renal cysts resected. Complex
renal cysts were excluded from the study. Vang Baker criteria were used for estimation of the severity
of pain before and after operation. Radiologic improvement was considered, when, there wasn't any
evidence of recurrence in CT scan taken long time after surgery.
Results: Among twentyseven patients treated with laparoscopy, %92.5 of patients had symptomatic
improvement and %96.2 had radiological improvement after follow up for 22 months (3-32 months).
Conclusion: According to our study, laparoscopic decortication, as a less invasive method, has a high
success rate in the treatment of symptomatic renal cysts.